中国实用神经疾病杂志2018，Vol.21Issue(2)：177-179,3.DOI:10.12083/SYSJ.2018.02.046
颅内压监测在高龄颅脑外伤患者中的应用
Application of intracranial pressure monitoring in elderly patients with craniocerebral trauma
摘要
Abstract
Objective To explore the significance of intracranial pressure monitoring in elderly patients with craniocerebral trauma treatment .Methods A retrospective analysis was conducted about 85 elderly patients with craniocerebral injury at The third affiliated hospital of Sun-Yat-Sen University between April 2014 to June 2016 .45 patients in observation group had accepted ICP monitoring within 24 hours after injured ,the average time of monitoring was (6.14 ± 1.5) d .When ICP>20 mm Hg in ob-servation group ,dehydration treatment was implemented ;when ICP>25 mm Hg continuously ,and the effect of dehydration was not obvious ,or patients with progressive decline in consciousness ,repeated head CT showed hematoma increase or surgery in pa-tients with cerebral edema aggravated ,operation was conducted .The control group (40 cases) were treated by routine therapy ,in-cluding dehydration and operation based on experience .We compared dehydration drug dosage and prognosis of two groups .Results The per capita mannitol dosage of observation group was (30.4 ± 16.3) g/d ,compared with control group (45.8 ± 15.3) g/d ,the difference was statistically significant (P<0.01) .Mortality and plant condition of observation was lower than those of con-trol group ,the difference was also statistically significant (P<0.05) .Conclusion Continuous intracranial pressure monitoring has important clinical significance in improving the curative effect and assessing the condition and prognosis in elderly patients with craniocerebral trauma .关键词
颅内压监测/高龄/颅脑外伤/脑内血肿/预后Key words
Intracranial pressure monitoring/Elderly patient/Craniocerebral trauma/Intracerebral hematoma/Prognosis分类
医药卫生引用本文复制引用
凌聪,叶卓鹏,侯博,蔡梅钦..颅内压监测在高龄颅脑外伤患者中的应用[J].中国实用神经疾病杂志,2018,21(2):177-179,3.基金项目
广东省科技计划项目(编号:2015A020212016) （编号:2015A020212016）
